While most of the healthcare services we provide are covered by OHIP, some services are not covered. These charges are established by the Ontario Medical Association (OMA) and are reviewed on an annual basis.
Providing uninsured services (such as sick notes for work or copying/transferring medical records) requires significant time and clinic resources. Please note that payment is required before the service is provided.
Forms & Notes
|
Service / Form Description |
Patient Fee |
|
Disability Tax Credit Certificate |
$125.00 |
|
EI Sickness Benefit Form |
$50.00 |
|
Forms per page (1 week turnaround) |
$35.00 |
|
Rush Premium (for Forms per page) |
+$20.00 to $50.00 |
|
Foster Parent Application |
$200.00 |
|
Full Examination and Form |
$220.00 |
|
Immunization Summary |
No Charge |
|
Notes (e.g., Sick Notes) |
$25.00 |
|
Rush Premium (within 2 business days) |
+$10.00 |
|
School / Daycare / Camp Forms and Examination |
$75.00 |
Consultations & Procedure Fees
|
Service / Procedure Description |
Patient Fee |
|
Blood Work for Non-OHIP Procedures |
$25.00 |
|
Cryotherapy (for uninsured use) |
$30.00 |
|
Patient-conducted interview of doctor |
$125.00 |
|
Pre-Op Examination for Non-OHIP Procedures |
$150.00 |
|
Removal of Skin Lesions (one lesion) |
$75.00 |
|
Removal of Skin Lesions (two lesions) |
$90.00 |
|
Removal of Skin Lesions (three lesions) |
$135.00 |
|
Travel Assessment & Prescription |
$90.00 |
|
Travel Injection |
$30.00 |
|
Travel Prescription Only |
$20.00 |
Administrative & Other Fees
|
Administrative Item |
Patient Fee |
|
Assessment without Health Card / Invalid or Expired Health Card (per visit) |
$100.00 - $200.00 |
|
Missed Appointment (15-minute time slot) |
$100.00 |
|
Missed Appointment (30-minute time slot) |
$200.00 |
|
NSF Cheques |
$25.00 |
|
Transfer of Records (CD - per individual) |
$45.00 |
|
Transfer of Records (CD - family of 3 or more) |
$100.00 |
Third-Party Covered Services
These services are usually covered by an external party such as an Insurance Company, Lawyer, or the Government.
|
Third-Party Form / Service |
Fee |
|
APS Life Insurability Form |
$160.00 |
|
Rush Premium |
+$40.00 |
|
CPP Disability Form |
$85.00 |
|
Legal Letter / Review of Chart |
$100.00 per 15 min |
|
OCF-18 Treatment Plan |
$272.00 |
|
OCF-19 Catastrophic Impairment |
$151.00 |
|
OCF-23 Treatment Confirmation |
$256.00 |
|
OCF-3 Disability Certificate |
$256.00 |
|
Photocopying (Legal OMA standard, pages 1-20) |
$35.00 |
|
Additional Pages |
$0.25 per page |
|
Travel Assessment & Prescription |
$90.00 |
|
Travel Injection |
$30.00 |
|
Travel Prescription Only |
$20.00 |
Fully Covered / Free Services
|
Service Description |
Coverage |
|
CCAC Day Programs |
No Charge |
|
Disabled Parking Applications |
No Charge |
|
Hearing Device Applications |
No Charge |
|
Birth Certificate Applications |
No Charge |
